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Contact Information

KEITH A DUERLER, PT
880 CORPORATE DR STE 202
LEXINGTON, KY40503-5449
 Phone: 859-797-5513
 Fax: 859-258-8592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KEITH A DUERLER · (Male)

NPI Number 1114099330
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 11/14/2006
Last updated 07/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 003352
  • KY License # PT-003352
  • KY Other 36000818 ASC MEDICAID GROUP
  • KY Other ASC1019 ASC MEDICARE GROUP
  • KY Other 37903705 MEDICAID LAB GROUP
  • KY Other 4000501 MEDICARE LAB GROUP
  • KY Other CB5773 RR GROUP
  • KY Other P00224418 RR MEDICARE PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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